Hannah Rose Johnson, BCBA
Individual provider Active NPI Behavior Analyst · Bismarck, ND
NPI 1972123586 · NPPES record last updated Sep 12, 2024
Key facts
- NPI
- 1972123586
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-22-62086 (ND)
- Practice address
- 4503 Coleman St Ste 203
Bismarck, ND 58503-2017 - Phone
- (218) 287-4338
- NPI assigned
- Apr 23, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | ND | ||
| Specialist | 174400000X | |||
| Behavior Analyst | 103K00000X | 1-22-62086 | ND | Yes |
Addresses
Primary practice location
4503 Coleman St Ste 203
Bismarck, ND 58503-2017
Mailing address
1547 30TH Ave S
Moorhead, MN 56560-5149
Phone (218) 287-4338
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1544417 | Medicaid | ND |
Other names
- Hannah Kovash
Other providers in Bismarck, ND
- Coltan Johnson
- Craig A Johnson
- Donna Johnson
- Faye Opal Johnson
- Gary N Johnson
- Jacqueline Marie Johnson
- Jaime Johnson
- Jenna Johnson
- Jennifer M Johnson
- Jesse Johnson
All providers in Bismarck, ND · Behavior Analyst in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.